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NPI 1780996736 · Martinsville, VA · Family Medicine Physician
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Shyam Balakrishnan is a family medicine physician provider located in Martinsville, Virginia. This profile covers 12 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shyam Balakrishnan |
| Address | 1107a Brookdale St |
| City | Martinsville |
| State | VA |
| ZIP | 24112 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 7, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $53.8K |
| Medicaid | $7.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 460 | $80 | $37.4K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 40 | $120 | $5.1K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 40 | $80 | $2.7K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 290 | $10 | $2.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 40 | $50 | $1.9K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 10 | $90 | $1.3K |
| G0008 | Administration of influenza virus vaccine | 40 | $30 | $1.2K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 20 | $50 | $850 |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 60 | $10 | $560 |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 20 | $10 | $290 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 2,178 | 12,890 | 140 | $80 | $21K |
| G0439 | 2,058 | 2,960 | 80 | $120 | $14.7K |
| 99213 | 9,461 | 12,440 | 90 | $60 | $10K |
| 90694 | 1,029 | 1,480 | 70 | $70 | $8.1K |
| U0002 | 9 | 10 | 20 | $50 | $5K |
| G0008 | 2,191 | 3,490 | 70 | $30 | $3.1K |
| 36415 | 760 | 2,620 | 120 | $10 | $3K |
| 87502 | 42 | 50 | 20 | $90 | $2.8K |
| 83036 | 697 | 1,190 | 80 | $10 | $2.5K |
| 71046 | 1,138 | 1,510 | 50 | $10 | $1.6K |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 130 | $50 | $7.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 10 | $60 | $780 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 10 | $1 | $40 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,379 | 3,520 | 370 | $70 | $280.7K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,565 | 4,010 | 290 | $50 | $199.8K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 887 | 940 | 470 | $1 | $9.3K |
Other providers in the same ZIP code as Shyam Balakrishnan, ranked by combined Medicare and Medicaid revenue.
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